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Full text of "All About HRSA: A Guide for Hispanic Serving Institutions"

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El Paso County Community College Valley Verde Campus 



Produced by the Institute for College Research Development and Support, Silver Spring, Maryland, under Contract No. 97-03373(P), 
for the U.S. Department of Health and Human Services Health Resources and Services Administration. Acknowledgement and thanks 
are given to the following organizations and institutions for their provision of photographs that are used in this brochure: La Fe Family 
Health Center, I.I Paso, Texas; Unity Health Care-Upper Cardoza, Washington, DC; Pontifical Catholic University, Ponce, Puerto 
Ri, ,, and 1 1 I'aso ( ount\ ( '(immunity College District, El Paso, Texas. 



Contents 



Greetings from the Secretary of Health and Human Services 2 

Greetings from the Administrator of the Health Resources and 

Services Administration 3 

Overview of the Agency 4 

The HRSA Mission 5 

The Organization of HRSA 6 

Structure of HRSA Bureaus and Offices 7 

About the HRSA Bureaus 8 

The Bureau of Health Professions 8 

The Maternal and Child Health Bureau 10 

The Bureau of Primary Health Care 12 

The HIV/AIDS Bureau 14 

About Other HRSA Program Offices 15 

About the HRSA Administrative Offices 16 

Types of HRSA Awards 17 

Select HRSA Awards to HSIs 18 

HRSA Resources and Contacts 20 



Greetings from the 

SECRETARY OF HEAL TH AND HUMAN SER VICES 



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The U.S. Census Bureau estimates that by the year 2009, 40 million Hispanics/Latinos will 
live on the U.S. mainland, making this population the largest minority group in the Nation. 
In order to meet the health care needs of this growing customer group, it will be necessary 
for the Department of Health and Human Services (DHHS) to re-engineer many of its programs. 
«bh|mm^ Accordingly, in effort to meet this chal- 

lenge, we are instituting changes that are sys- 
temic and cultural, including strengthening 
our health services delivery system, and hold- 
ing ourselves accountable for results. 

Many of our efforts directed toward the 
Hispanic/Latino population will be guided by 
a recent report, The Hispanic Agenda for 
Action: Improving Services to Hispanic 
Americans. This report addresses a broad 
range of issues related to departmental poli- 
cies and programs, and presents a nine-point 
action plan to ensure that the DHHS work- 
force, and the services provided through this 
workforce, will be responsive to the present 
and future health services needs of 
Hispanics/Latinos. The action plan also 
includes initiatives aimed at increasing the 
level of educational attainment for Hispanics/Latinos, and at increasing the number who pursue 
careers in the health and biomedical sciences, fields where Hispanics/Latinos continue to be under- 
represented. Responsibility within DHHS, for addressing the increase of Hispanics/Latinos among 
the ranks of health professionals, resides with the Health Resources and Services Administration 
(HRSA). 

In addition to developing responsive health services programs for Hispanics/Latinos, DHHS also 
is desirous of developing partnerships with Hispanic Serving Institutions (HSIs) to assist in imple- 
menting some of these efforts. Toward this end, each DHHS operating division, such as HRSA, is 
charged with developing HSI outreach initiatives. The publication of this brochure, All About 
HRSA: A Guide for Hispanic Serving Institutions, a project of HRSA's Office of Minority Health, 
is in keeping with this charge. The information contained herein, is intended to increase the aware- 
ness and knowledge of HSIs about the programs of HRSA. Through this increased awareness, I 
hope that, in turn, more HSI partnerships with HRSA will be pursued and ultimately created. 



Donna E. Shalala 

Secretary 

U.S. Department of Health and Human Services 




Greetings from the 



ADMINISTIL4TOR OF THE HEALTH RESOURCES AND 
SER VICES ADMINISTRATION 



As the "Access Agency," the Health Resources and Services Administration (HRSA) is 
committed to improving access to quality health care for the underserved. vulnerable, and 
special needs populations of the Nation, which include a significant number of 
Hispanics Latinos. Thus, in keeping with its overall mission. HRSA promotes the recruitment and 
training of a culturally competent and diverse work- 
force to help meet the health care needs of these 
underserved populations. 

In an effort to fully address the initiatives established 
by the Department. HRSA has developed several 
strategies designed to increase the involvement of 
Hispanics Latinos, and other minority groups, with 
the programs that are administered by the various 
HRSA bureaus. One of these initiatives involves 
increasing the ranks of Hispanics Latinos within the 
health professions. Accordingly. HRSA has promot- 
ed the establishment of the Hispanic-Serving Health 
Professions Schools Association, and is a strong sup- 
porter of a fellowship program for Hispanic physi- 
cians, which is administered by the National Hispanic 
Medical Association. 

Considering the mission of HRSA. to assure that the 
primary health care needs of all citizens within the 
United States are met. we often seek the assistance of 
organizations that have a stakehold in their respective 
communities. This includes institutions of higher 
education, such as those that have a focus on serving Hispanics Latinos. Toward this end. we 
intend to be proactive in our outreach efforts to develop partnerships with Hispanic Serving 
Institutions (HSIs) that are meaningful and effective. This is based on our understanding that gov- 
ernment-academic-community partnerships are important keys to community strength and growth. 




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This brochure, which is a part of our outreach efforts, has been designed to increase the awareness 
and knowledge of HSIs about the programs in HRSA. Hopefully, the brochure will allow for the 
identification of opportunities for HRSA-HSI partnerships, and also will serve as an impetus for 
HSIs to increase their pursuance of such partnerships. Thus, we at HRSA look forward to expand- 
ing our collaboration with HSIs. 



Claude Earl Fox. M.D.. M.P.H. 

Administrator 

Health Resources and Sen-ices Administration 



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Overview of the Agency 



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The Health Resources and 
Services Administration, 
established in 1982, 
brought together several existing 
programs to provide national 
leadership in health care and pub- 
lic health. Today, the agency 
administers more than 80 separate 
programs, employs over 2,000 
people, and has a budget which 
exceeds $4.6 billion. In carrying 
out its mission of helping to pro- 
vide health resources for medical- 
ly underserved and special-needs 
populations, HRSA supports a 
nationwide network of over 600 
community and migrant health 
centers, in addition to primary 
care programs for the homeless 
and residents of public housing. 

The programmatic operations of 
HRSA are vast and far-reaching, 
serving over 8 million people 
each year. Some of the major pro- 
grams administered by HRSA 
include: health professions train- 
ing, oversight of the national 
organ transplantation system, pro- 
vision of services to people with HIV/AIDS, and 
efforts to improve child health and reduce infant 
mortality. Additionally, HRSA supports the National 
Health Service Corps, a program designed to provide 
health professionals to communities where a shortage 
exists for such personnel. In general, it is the aim of 
HRSA to increase the quality, diversity, and capacity of 
the health care workforce, in an effort to meet the pri- 
mary health care needs of vulnerable populations. 





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The HRSA Mission 



The primary mission of the Health Resources 
and Sen ices Administration is to improve the 
Nation's health by assuring equal access to 
comprehensive, culturally competent, and quality 
health care for all. Central to this mission are HRSA's 
efforts to develop and manage programs which meet 
the health care needs of citizens neglected by or 
deprived of private health services. The following 
eight key activities are focused on by HRSA, in carry- 
ins out its mission: 




• Forming academic, community, and educational 
partnerships 

• Bringing disadvantaged, uninsured, rural and 
chronically ill citizens into the mainstream of man- 
aged care 

• Utilizing technological advances to enhance the 
competence and skills of health care providers in 
the U.S. 

• Working with states to improve health care deliv- 
ery to all who are disadvantaged, underserved or 
who have special needs 



Building community-based health infrastructures 
through a coalition of citizens and health care 
providers to test, evaluate and replicate models of 
cooperative care 

Enhancing services for populations living with 
HIV/AIDS 

Assuring access to care for women and children 
and working to decrease infant mortality 

Monitoring the health status of populations living 
along the U.S. -Mexican border 



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The Organization of HRSA 




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The Health Resources and Services 
Administration is often referred to as the 
Access Agency, because of its proactive focus 
on providing a pathway to primary health care for the 
medically underserved populations of the Nation. To 
support this designation, and to fully meet the objec- 
tives of its mission, HRSA is organized into the fol- 
lowing four major bureaus: 

• The Bureau of Health Professions 

• The Maternal and Child Health Bureau 

• The Bureau of Primary Health Care 

• The HIV/AIDS Bureau 

While the majority of the programmatic activities 
within HRSA are carried out by the four bureaus iden- 
tified above, such activities arc also implemented by 
>cven other organized units: the Office of Minority 



Health (OMH); the Office of Rural Health Policy 
(ORHP); the Office of Special Programs (OSP); the 
Center for Managed Care (CMC); the Office for the 
Advancement of Telehealth (OAT); the Center for 
Public Health Practice; and the Office of Planning, 
Evaluation and Legislation (OPEL). It should be noted 
that the ORHP has responsibility for rural primary 
health care issues for all of DHHS; however, it has 
been organizationally placed in HRSA, and, in effect, 
operates as a bureau. Accordingly, through the ORHP, 
the views of all rural constituencies are expressed to 
the Federal sector. The National Advisory Committee 
on Rural Health is also provided administrative sup- 
port by the ORHP. Given that all units within HRSA 
report either directly or indirectly to the Office of the 
Administrator (OA), it is the responsibility of this 
office to lead and direct the various HRSA programs 
and activities, and advise the Office of the Secretary of 
Health and Human Services on related policy matters. 
The OA also has primary responsibility for coordinat- 
ing HRSA's international health activities. 



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About the HRSA Bureaus 



The Bureau of Health Professions 



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It is the primary responsibility of the Bureau of 
Health Professions (BHPr) to monitor and guide 
the development of health resources to carry out 
its mission, by providing leadership to improve the 
education, training, distribution, utilization, supply and 
quality of the Nation's health personnel. Operation of 
the various BHPr programs is carried out by the fol- 
lowing divisions: (1) Public Health and Allied Health: 
(2) Medicine and Dentistry; (3) Nursing; (4) Student 
Assistance; (5) Quality Assurance; (6) Vaccine Injury 
Compensation; (7) Health Professions Diversity; and 
(8) Interdisciplinajy and Community-Based Programs. 
Additionally, two offices have support responsibilities 
for BHPr activities: the offices of Program Support 
and Research and Planning. 

Grants of particular interest to HSIs that are funded by 
the Bureau of Health Professions to increase diversity 
in the health care workforce include: 

• The Health Careers Opportunity Program (HCOP), 
which provides funds to colleges and universities to 
develop programs for students from disadvantaged 
backgrounds, who have an interest in pursuing 
careers in the health and allied health professions. 
HCOP awards may be used 
for recruitment, preliminary 
education, facilitating entry, 
retention, and financial aid 
information dissemination. 

• The Centers of Excellence, 
which assists health profes- 
sions schools in supporting 
programs of excellence in 
health education for minori- * 
ty students who are pursuing 
careers in allopathic medi- 
cine, osteopathic medicine, 
dentistry, and pharmacy. 



The Nursing Workforce Diversity program, which 
provides funds to defray the costs of special proj- 
ects to increase nursing education opportunities for 
individuals from disadvantaged backgrounds. 
Special projects can include recruitment and reten- 
tion of nursing students, pre-entry preparation, dis- 
seminating information regarding sources of 
financial aid and providing student scholarships 
and stipends. 

The Basic Nursing Education and Practice Grant, 
which provides funds for projects to strengthen the 
capacity of schools of nursing, academic health 
centers and other public and private nonprofit enti- 
ties for basic nursing education and practice. 
Grant funds may be used by institutions for proj- 
ects which focus on Agency priority areas, such as, 
improving access to primary health care in med- 
ically underserved communities; developing cul- 
tural competence skills among nurses; increasing 
enrollment in baccalaureate nursing programs; and 
providing education in informatics, including dis- 
tance learning methodologies. 









Additional grant programs funded by BHPr that HSIs 
may wish to pursue to increase diversity are: 

• Scholarships for Disadvantaged Students, which 
provide funds to eligible schools of medicine, den- 
tistry, optometry, pharmacy, podiatry, veterinary 
medicine, clinical psychology, public health, nurs- 
ing, and allied health. Health professions and 
nursing schools with a significant proportion of 
underrepresented minority students are given spe- 
cial consideration. 

• Nurse Practitioners, Nurse Midwives, Nurse 
Anesthetists and Other Advanced Education 
Nursing Grants which provide funds for the costs 
of ( 1 ) maintaining or expanding established pro- 
grams of nursing education and practice or (2) 
traineeships for students in advanced nursing edu- 
cation programs. 

• Allied Health Project Grants, which provide funds 
to establish new programs or expand existing pro- 
grams. Applicants are encouraged to creatively 
apply the grant funds to projects that will increase 
the number of students trained in allied health pro- 
fessions. 



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The Maternal and Child Health Bureau 



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The primary responsibility of the Maternal and 
Child Health Bureau (MCHB) is to promote 
and improve the health of mothers, infants, 
children and adolescents, including families with low- 
income levels, those with diverse racial and ethnic her- 
itages, and those living in rural or isolated areas with- 
out adequate access to health care. The MCHB is 
organized into five major divisions: (1) Child, 
Adolescent, and Family Health; (2) Services for 
Children with Special Needs; (3) Research, Training, 
and Education; (4) Perinatal Systems and Women's 
Health; and (5) Data and Information Management. 
Programs funded and administered by these divisions 
include: 

• The Healthy Start Program, which aims to reduce 
infant mortality and improve access to and use of 
perinatal and infant care services in communities 
with high infant mortality rates. 
Two Healthy Start programs of 
particular interest to Hispanic and 
border communities are Healthy 
Start: Eliminating Disparities in 
Perinatal Health and Healthy Start: 
Infrastructure/Capacity Building 
Projects to eliminate racial dispar- 
ities in perinatal indicators. The 
MCHB solicits applications from 
public or nonprofit minority institu- 
tions of higher learning for a variety 
of other programs. This includes 
Maternal and Child Health Training 
in Schools of Public Health Grants 
to strengthen MCH programs, 
through long-term training, and to 
prepare health professionals for 
leadership roles in their respective 
areas. 

• The MCHB Nursing Program, which supports 
graduate training in maternal and child health 
nursing that prepares nursing professionals for 

adership roles in the care of women and children 
nunity health programs of higher educa- 





The Community Integrated Service Systems (CISS) 
Community Organization Grants Program, which 
is designed to enhance the development of service 
systems at the community level to address the 
physical and mental health needs of pregnant 
women, infants and children. CISS programs must 



10 





be developed in collaboration with state MCH 
services programs. Institutions of higher education 
serving minority populations are especially 
encouraged to apply. 

• Maternal and Child Health Research Grants, 
which are awarded to encourage applied research 
in maternal and child health, the findings of which 
might be readily utilized by health care delivery 
programs. 

• The MCHB Nutrition Program, which provides 
leadership training to nutrition professionals 
preparing for leadership roles in public health 
nutrition that focuses on women and children and 
children with special needs. 

Through its Continuing Education and Development 
Program, the MCHB also makes awards for short- 
term, non-degree related courses, workshops, and con- 
ferences, and for the development of curricula, guide- 
lines, standards of practice, and educational tools 
designed to assure quality health care for the MCHB 
population. 



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The Bureau of Primary Health Care 



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The largest bureau within HRSA is the Bureau 
of Primary Health Care (BPHC). It provides 
support for high quality community-based pre- 
ventative and primary care to medically underserved 
populations, and to people with special needs. Major 
programs administered by this Bureau include: 

• The Notional Health Service Corps (NHSC), a 
program designed to provide financial assistance 
to health professions students, in exchange for 
service, after graduation, in rural and urban health 
professional shortage areas. 

• The Community and Migrant Health Centers 
(CMHC) Program, which makes grants to public 
and non-profit private organizations for the devel- 
opment and operation of community health centers 
in areas that have limited access to primary health 
care for a majority of the population. Specifically, 
for migrant and seasonal farm workers and their 
families, the centers provide access to comprehen- 
sive health care services, including environmental 
and occupational health. Where necessary, med- 
ical care services are provided by bilingual, bicul- 
tural health care workers. Typically, the National 
Health Service Corps provides a significant num- 
ber of the health 
care professionals 
to the CMHCs. 




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• The Health Care for the Homeless 
(HCH) Program seeks to improve 
access to primary health care and sub- 
stance abuse treatment by homeless 
persons. Awards are made to existing 
community-based programs for the 
provision of effective and case man- 
aged primary care services. 

• The Public Housing Primary Care 
(PHPC) Program, which is designed to 
improve the health status of public 
housing residents and to increase their 
access to comprehensive primary care, 
either on site or at a nearby facility. 

In addition to the above programs, the 
BPHC also operates the Office of Minority 
and Women's Health (OMWH). which was 
established to improve the health of the 
special populations targeted and served by 
the Bureau. One of the strategies projected 
to address health issues for these popula- 
tions, includes: the Women's Primary 
Health Care and Job Training Linkage to 
Community Infrastructure Development, a 
collaborative effort with the Department of 
Labor to provide Federal support for pro- 
grams that improve the health and employ- 
ment status of low income or unemployed 
women. 





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The HIV/AIDS Bureau 



The major responsibility of the HIV/AIDS 
Bureau (HAB) is to administer the Ryan White 
Comprehensive AIDS Resources Emergency 
(CARE) Act. This Act, which was signed into law in 
August 1990, is designed to improve the quality and 
availability of care for people with HIV/AIDS and 
their families. Accordingly, programs are conducted 
by the Bureau to benefit low-income and underinsured 
individuals and families affected by HIV/AIDS. These 
programs are administered under four titles and Part F 
of the CARE Act: 

• Title I is an emergency relief grant program for eli- 
gible metropolitan areas. 

• Title II provides HIV care grants to states. 

• Title III supports early intervention services for 
HIV outpatients. 

• Title IV provides coordinated HIV services and 
access to research for pediatric cases and their 
families. 



• Part F supports the Special Projects of National 
Significance Program, the HIV/AIDS Dental 
Reimbursement Program, and AIDS Education 
and Training Centers. 

Award eligibility exists for all HSIs with programs that 
provide services in underserved or rural communities, 
especially those areas where the HIV/ AIDS epidemic 
is increasing. HSI professional schools of medicine 
and dentistry are eligible to apply for the programs in 
Part F. Opportunities for awards may also exist under 
Part F for all HSIs, through partnerships with their 
state planning councils. The Special Projects of 
National Significance Program makes competitive 
awards to non-profit organizations for demonstrations 
and evaluations of innovative models of HIV care. 
The AIDS Education and Training Center Program 
trains primary health care providers, such as physi- 
cians, dentists, and nurses, in the care and treatment of 
persons living with HIV. The Dental Reimbursement 
Program helps dental schools with the uncompensated 
costs of providing dental care to HIV/ AIDS patients. 




14 



About Other HRSA Program Offices 



Although the majority of the program activities 
within HRSA take place through the four pre- 
viously described bureaus, following is a 
description of several other HRSA units that also 
administer program activities: 

• The Office of Minority Health (OMH) provides 
leadership and guidance throughout HRSA to 
enable the Agency to improve the health status of 
racial/ethnic minorities. It is the focal point with- 
in the Agency for addressing minority health 
issues affecting HRSA programs and mandates. 
The Director of the office serves as the principal 
advisor to the Administrator on these issues. The 
office also works closely with the Office of 
Minority Health at the Secretary's level to effec- 
tively implement minority initiatives emanating 
from the Department that fall within HRSA's mis- 
sion. These initiatives include The White House 
Initiative on Educational Excellence for Hispanic 
Americans (Executive Order 12900), as well as 
college and university initiatives for African 
Americans and Native Americans. Recently, the 
Office of Minority Health was given oversight for 
the newest Executive Order on Asian Americans 
and Pacific Islanders (Executive Order 13125). 

• The Office of Rural Health Policy (ORHP) seeks 
solutions to the Nation's rural health care prob- 
lems, by administering a variety of grant pro- 
grams. The ORHP also funds a toll free rural 
health information center, as well as provides 
advice to the Secretary of DHHS on all rural health 
policy issues. 

• The Office of Planning, Evaluation and 
Legislation (OPEL) serves as the Administrator's 
primary staff and principal source of advice on 
program planning, program evaluation, and leg- 
islative affairs. Accordingly, OPEL has responsi- 
bility for reporting on the effectiveness of many of 
the programmatic activities within HRSA. 
Guidance and oversight are also provided by 
OPEL to HRSA projects that require clearances 
from the Office of Management and Budget. 




The Office for the Advancement of Telehealth 

(OAT) was recently established to serve as a leader 
in telehealth and to promote the use of advanced 
telecommunications and information technologies 
in the provision of health care services and educa- 
tion. 

The Center for Managed Care (CMC) is respon- 
sible for assuring that the populations targeted by 
HRSA are informed and active participants in the 
Nation's managed care systems. In conjunction 
with HRSA's bureaus and offices, the CMC offers 
a coordinated program of training, technical assis- 
tance, evaluation, policy leadership, and intera- 
gency collaboration, to managed care stakehold- 
ers. The CMC seeks to assure that an adequate 
supply of primary care personnel are appropriately 
trained to meet the managed care needs of under- 
served and vulnerable populations within the 
Nation. 

The Center for Public Health Practice (CPHP) 

provides policy leadership and coordination for 
HRSA programs, as they relate to the public health 
workforce and health officials at all levels of gov- 
ernment. The Center works closely with State and 
local public health agencies and schools of public 
health throughout the Nation to fulfill its mission 
of strengthening public health practice in the 
United States. 



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The Office of Special Programs provides leader- 
ship and direction to three program areas: (I) the 
Division of Facilities Compliance and Recovery, 
which monitors health care facilities with obliga- 
tions resulting from the Hill-Burton grants or 
loans; (2) the Division of Facilities and Loans, 
which administers the portfolio of existing Hill- 
Burton direct and guaranteed loans, and assists the 
U.S. Department of Housing and Urban 
Development in the operation of its current hospi- 
tal mortgage insurance programs; and (3) the 
Division of Transplantation, which is responsible 
for the management of the Organ Procurement and 
Transplantation Network, as well as national coor- 
dination of organ and tissue donation activities. 




About The HRSA Administrative Offices 

The following offices within HRSA have the responsibility for coordinating administrative activities and addressing 
policy issues which relate to the mission of the agency: 



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The Office of Equal Opportunity (OEO) and 
Civil Rights coordinates, directs, develops, and 
administers the Agency's equal opportunity and 
civil rights activities. This includes ensuring 
equality in employment opportunities; managing 
civil service complaints; providing guidance to 
training programs on equal opportunity; and pro- 
moting the award of contracts to minority business 
enterprises, under Section 8(a) of the Small and 
Disadvantaged Business Utilization Act. 

The Office of Communications (OC) provides 
leadership and general policy, as well as program 
direction for HRSA, through the conduct and coor- 
dination of communications and public affairs 
activities. In addition, through the Freedom of 
Information Act (FOIA), all requests for HRSA 
documents, including examples of successful pro- 
posals, are processed by this office. 



The Office of Management and Program Support 
(OMPS) has the responsibility for providing lead- 
ership, throughout HRSA, related to program 
direction and coordination of all phases of man- 
agement. This includes activities in the areas of 
administrative management, financial manage- 
ment, human resources management, information 
resources management, grants and contracts man- 
agement, and administrative services. 

The Center for Quality has a mission to strength- 
en and improve the quality of health care, espe- 
cially as it relates to HRSA programs. 
Accordingly, the Center is charged with oversee- 
ing the quality component of the HRSA Strategic 
Plan, as well as supporting several initiatives 
designed to improve the quality of health care 
nationally. 



16 



Types of HRSA Awards 



There are three major processes used by the 
Health Resources and Services Administration 
in making awards to any organization that 
seeks funding from the Agency: (1) the Grant; (2) the 
Cooperative Agreement, and (3) the Contract. 
Following is a definition of each of these processes. 

Grants, the primary source of awards made by HRSA, 
are defined as financial assistance provided by a 
Federal agency to an eligible recipient or "grantee," 
such as an HSI, to accomplish a public purpose or to 
provide services, considered to be in the best interest 
of the Nation. Grant funding is typically authorized by 
Federal statute and seeks to address programmatic and 
policy issues. Within a grant, HRSA defines the prob- 
lem or contemplated project and respondents propose 
the scope of work necessary to solve the problem or 
complete the project. Thus, with a grant, the respon- 
dent outlines the steps necessary to complete the pro- 
posed project. Grants are awarded to those respon- 
dents that the Agency believes to have proposed the 
best way to complete the project. 

Cooperative Agreements are very similar to grants in 
that they are defined as financial assistance provided 
by a Federal agency. The application and award 
process is the same as for a grant. However, in a coop- 
erative agreement, there is "substantial involvement" 
of HRSA during the performance of the contemplated 
project. HRSA will collaborate with the non-Federal 



organization in managing and completing the tasks 
associated with the project. 

The Contract is a mutually binding legal relationship, 
which obligates a seller or contractor, such as an HSI, 
to furnish supplies or services, and the buyer, such as 
HRSA, to pay for them. The two primary types of con- 
tracts are Simplified Acquisitions and Negotiated 
Contracts. The requirements for both types of con- 
tracts are outlined by HRSA in a Statement of Work, or 
Scope of Work. Accordingly, the Statement of Work 
provides the contractor with a detailed set of tasks, or 
specifications, and a timetable for completion of those 
specifications. Typically, HRSA indicates the need it 
has for the provision of services and products, from a 
contractor, through what is generically called a solici- 
tation. The most common types of solicitations are the 
Request for Proposals (RFP) and the Request for 
Quote (RFQ) or Request for Bid (RFB). The Statement 
of Work is contained within these solicitations. 
Announcement of the availability of an RFP or RFQ 
usually appears in the Commerce Business Daily, a 
publication that also can be found on the World Wide 
Web, which lists for that day the goods and services 
that are expected to be bought over a specified period 
of time. The RFP is usually associated with 
Negotiated Contracts, and the RFQ is more often asso- 
ciated with Simplified Acquisitions. In responding to 
either type of solicitation, the contractor, such as an 
HSI, must submit a proposal. The RFP response, or 




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proposal, is comprised of two components: (1) the 
Technical Proposal and (2) the Business Proposal. In 
the Technical Proposal, the Contractor is expected to 
present an understanding of the Statement of Work, a 
proposed technical approach to implementing the 
Statement of Work, a management plan, and a presen- 
tation of the qualifications of those personnel who will 
perform the work. A Review Committee, comprised of 
HRSA program personnel, and sometimes outside con- 
sultants, evaluates each proposal submitted. It is the 
responsibility of this committee to evaluate only the 
Technical Proposal, for its merit, based on an estab- 
lished set of criteria. In consultation with the 




Contracting Officer, the chairperson of the Review 
Committee selects the contractor who submits the 
most cost-effective proposal. The Simplified 
Acquisition process allows HRSA to make small pur- 
chases that are under $100,000. This new dollar 
"threshold" replaces the previous process for awarding 
small purchase orders, and was enacted under the 
Federal Acquisition Streamlining Act of 1994. Thus, 
many program or contract officers may still refer to 
simplified acquisitions as the small purchase order 
process. It should be noted that only the Contracting 
Officer, and not the program staff of HRSA, or any 
government program staff, can commit a contract 
award. All contract actions 
involving the Federal govern- 
ment, which includes the 
various types of HRSA 
solicitations, are governed 
by the Federal Acquisitions 
Regulations (FAR), which are 
presented in a series of vol- 
umes known as the Code of 
Federal Regulations (CFR). 



Select HRSA Awards to HSIs 



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ver the years, HRSA has provided support for 
a variety of programs that have enhanced the 
education and training of students and health 
care professionals, who are committed to serving low- 
income and disadvantaged citizens. In recent years, 
HRSA has formed partnerships with HSIs by develop- 
ing and funding projects in support of new and estab- 
lished programs at these institutions, which relate to 
the mission of the Agency. Additionally, HRSA has 
awarded grants to academic researchers, which allow 
them to conduct meaningful scientific and medical 
research, thus contributing to the quality of health care 
received by the Nation's disadvantaged populations. 
The commitment of HRSA to HSIs is exemplified in 
the following awards: 



University of Miami Family Medicine and 
Community Health Center and University of 
Puerto Rico, San Juan, were two of nine awardees 
of a Targeted Provider Education Demonstration 
Grant. The grant will support HIV/ AIDS educa- 
tion and training for health professionals, and sup- 
port service providers working in minority com- 
munities highly impacted by HIV/ AIDS. 

University of Texas School of Medicine, San 
Antonio, was awarded a Partnership for Health 
Professions Education Grant to collaborate with 
the community to establish a direct academic 
channel for Hispanic students seeking careers in 
the health professions. The partnership will bring 



18 



together health professions 
schools, undergraduate col- 
leges, public schools, and 
community organizations. 

Universidad Central Del 
Caribe received a Graduate 
Training in Family Medicine 
Grant to train physicians for 
the practice of family medi- 
cine. The program assists the 
University in meeting the cost 
of planning, developing, and 
operating the predoctoral 
training program in family 
medicine. 

City University of New York 
City College was awarded a Physicians Assistants 
Training Grant, which allowed the institution to 
further develop and operate its educational pro- 
gram for physician assistants, and individuals who 
might teach in such training programs. 




University of New Mexico School of Medicine was 
the recipient of a grant for the support of 
Interdisciplinary Training in Health Care for 
Rural Areas. This grant allowed the University to 
develop and implement a program designed to 
encourage and prepare select students to enter into 
or remain in practices in rural America following 
their graduation. 

Florida International University and the 
University of Houston School of Public Health 
were each the recipient of a Health Administration 
Traineeships and Special Projects Grant, to devel- 
op and implement a program designed to train eli- 
gible students preparing for employment in health 
administration, hospital administration, or health 
policy analysis. 

Inter American University of Puerto Rico received 
a grant for the development, operation, and signif- 
icant expansion of a Nurse Anesthetist Education 
Program. This grant supports a program designed 
to qualify registered nurses to become certified 
registered nurse anesthetists. 



In addition to the select awards, described above, some 
HSIs have received grants to implement Health 
Careers Opportunity Programs and Centers of 
Excellence Programs. 




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HRSA Resources and Contacts 




ne of the major resources for HSIs to learn 
about grant programs within HRSA is through 
the Preview. In addition to a comprehensive 
listing of HRSA competitive grants, the Preview pro- 
vides detailed information on program objectives, fund- 
ing priorities, applicant eligibility, specific requirements 
and application deadlines. It is published two to three 
times a year. In an effort to assist HSIs, and other minor- 
ity institutions of higher education, in the development 
of their proposals, HRSA has established a Technical 
Assistance Center. This Center provides a physical facil- 
ity where faculty from HSIs can receive the proposal 
development services free of charge. Additional infor- 
mation about the Technical Assistance Center, other 
HRSA programs and funding opportunities, is available 
on the Internet at http://www.hrsa.dhhs.gov and 
www.icrds.org, and from the sources listed below: 





HRSA Headquarters 


HRSA Information 




Parklawn Building 


Center 




5600 Fishers Lane 


P.O. Box 2910 




Room 14-05 


Merrifield,VA22116 




Rockville, MD 20857 


(888) 275-4772 
(703)821-2098 (Fax) 




Office of Minority 






Health 


HRSA Technical 




M. June Horner, Director 


Assistance Center 




Parklawn Building 


8701 Georgia Avenue 




5600 Fishers Lane 


Suite 603 




Room 10-49 


Silver Spring, MD 20910 




Rockville, MD 20857 


(301)585-7588 


£ 


(301)443-2964 


(301)585-3889 (Fax) 


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(301)443-7853 (Fax) 


hrsa@icrds.org 


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The Preview 




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(877)477-2123 




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Freedom of Information 




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(301)443-3376 






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Christmas at La Fe Family Health Center, El Paso, Texas 



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